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Home My WebLink AboutPermit Mechanical 2003-4-11 r' .,' '~ City of Springfield Mechanical Permit Status: Issued PERMIT NO.: ISSUED: APPLIED: EXPIRES: MEC2003-00023 4/11/2003 4/11/2003 10/11/2003 OWNER/APPLICANT: 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2710 BURLINGTON A vli;;;~:~~:~lrrIfRiOO law reqUIres YOu tu ASSESSOR'S PARCEL NO.: 1703244103004 .Notit;cation_~~~9reg~\\Itility II) OAR 952-oo,~~ij~~lW~s art ~~tltcHtial 0090. You m~'y'obt. ~OAFf~'52-o01. PROJECT DESCRIPTION: Install Gas Insert & Gas Wa~gm~t~'nt aln copIes of the rules b) number for the 0 er. (Note: the telephone v...vIilRl . rp.{1nn '-'tW.) {~~, ;Lu:auon MECtlAwt~AV <8ON~~11'f.R: MARS HAllS INC 541-747-7445 411 0 OLYMPIC STREET SPRINGFIELD OR 97478 CCB # 25790 Expiration Date: 12/23/2003 DAVIS GERALD D & SHARON K 541-746-0480 2710 BURLINGTON AVE SPRINGFIELD OR 97477 Descriotion Amount Paid Date Paid Receiot Number + 10% Administrative Fee 4.50 .JWJJ/2003 2200200000000000735 + 7% State Surcharge 3 .15 "MJlf1~!)3 2200200000000000735 -Issuance Fee- 10.00 Tf(jml/l>e.I'T SH 2200200000000000735 Appliance Not Listed 9.00 Af9>~P~ D u All~tnR!of}t>~QQ7~~K Gas Fireplace 15.00 CrM1 NDER2J2Rrs~ftl,)A( ovm~ Minimum/Adiustments - Mech 21.00 AJ1~V ZWaD OR IS RB~WM~bOU~ d~'NQT ''IV 1 ~~ Dri', rCHHm ,. ^'r:r faD To Request an inspection call the 24 hour recording at 726-3769. All inspeclfOl1s requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Reouired Insnections: 1 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. By Signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, and that the approved set of plans, if applicable, will remain on the site at all times during construction. jt~d~/c~ff!v OwneYOr Contracto:fSignature Date ij//,//,/ ~ 1// Page I of I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number MEC2003-00023 MEC2003-00023 MEC2003-00023 MEC2003-00023 MEC2003-00023 MEC2003-00023 Payments: Type of Payment Check Paid By Description Appliance Not Listed Receipt #: 2200200000000000735 Date: 04/11/2003 Minimum/Adjustments - Mech -Issuance Fee- Gas Fireplace + 7% State Surcharge + 10% Administrative Fee MARSHALL'S INC. Received By Check Number Confirm No DDK Page I of I 4/11/2003 1l:26:37AM ~ City of Springfield Development Services Department Public Works Department Official Receipt Amount Paid 9.00 21.00 10.00 15.00 3.15 4.50 Line Item Total: $62.65 How Received Amount Paid In Person 62.65 $62.65 Payment Total: cRcccipt.rpt FtESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOT: BLOCK: .JOB NUMBER(\!l&G Jj)fP:y~ ~ 225 Fifth Street Springfield! Oregon 97477 fto~" TAX LOT: SUBDIVISION: OWNER: t~~f(){rJ 1 n 1 )tJ:) PHONE:. "l4 La, Ol~ 8Q ADDRESS:' all D 'Bw ," / _ . CITY, 8-m~ ..r,!- STATE' noqan _ ZiP, Q--)/...Yi)i DESCRIBEWORK:\.~~~-flJ} Q :~'~QL). \_JLf\~_J\j- 3 (~1J !Hr::>D ~t{( NEW\/ REMODEL ADDITION' DEMOLISH ____ OTHER_ CONTRACTOR!S NAME GENERAL: PLUMBING: ADDRESS CONST. CONTRACTOR # . EXPIRES .~ PHONE MECHANICAL: . ELECTRICAl' i\\.)\C\ /'.M Ojl(/) rVSJ9c) 1 47-144'b QUAD AREA: # OF BLDGS: OCCY GROUP: # OF STORIES: WATER HEATER: - OFFICE USE - LAND USE: # OF UNITS: CONSTR. TYPE: __ HEAT SOURCE: RANG E: FLOOD PLAIN: ZONING CODE: II OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: " 'To'r~q"P3!<.'r:'ir:spec~lon. Y')lJ"n:8st":::!i 72'S 3-?<':S',n;;c;';.:: ;, Zr:-.6;;'~'r':':c;GIi1Q. A:j 1;;'SPCCiiGlr:;'le~u0;(td'i.;efore-i:oo a.m, will De made the same working day, Inspections requested after 7:00 a.m. will be made the following work day, o Temporary Electric o Site Inspection - To tie made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlca.I/. . . Mechanical - Prior to cover. . o Footing - After trenches are excavated. . o Masonry __ Steel location, bond beams, grouting. ,0 Foundation - After forms are erected but prior to concrete placement. REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. o Rough Electrical - Prior to cover. O' Electrical Service - Must be approved to obtain permanent . electrical power. D Fireplace - Prior to facing materlal~ and framing Insp. .0 Framing - Prior to cover. D Wall/Celllng Insulation - Prior to cover. . ,S!~~~~~~~r~~~:~~:~~n~_,,~~~r~.:~_: .0 ~~~all_~~~~~~~o.~~~~lng. . D Underfloor Plumbing/Mechanical ~ Prior to Insulation or decking. o Post and Beam - Prior to floor Insulatlonor decking. D Floor Insulation - Prior to deckl ng. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. O Water Line - Prior to filling trench. . o Rough Plumbing - Prior to cover. D Wood Stove - After Installation: o Insert - After fireplace approval and Installation of unit. D Curbcut & Approach- After , forms are emcted but prior.to placement of concrete,. D Sidewalk & Drlvew:w - After excavation Is complete, forms and Bub-base material In place. o Fence - \t\then cor,1pleted. D Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing work Is complete. o Final Electdcal - When all electrical work Is complete. D Final Mechanical - When all . mechanical worl< 19 complete, D Final Building - When all required Inspections have been approved and building is completed. D Other .......""':...4;; ..........."" _.......~ ..-!"" ., -, '- ~ MOBILE HOME INSPECTIONS o Blocking and Set-Up - When all , blocking Is complete.' . o Plumbing Connections - When home 11a5 been connected to water and sewer: o Electrical Connection - When blocking, sel'up, and plumbing Inspections have been approved and the home Is connected to the service panel. o Final - After ail required . Inspectlo'ns are approved and porches, skirting, decks, and venting h~ve been Installed, Lot faces Lot Lot sq. ftg. Interior Lot coverage Corner Topography Panhandle Total height Cul-de-sac BUILDING PERMIT ITEM SO. FT. X $/SO. FT. Main Garage Carport , Total Value Building Permit Fee Stato Surcharge Total Fee (A) - IS THE PROPOSED WORK iN THE.,. .... - '. ~ HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. Setbacks I P.L. HSE I GAR ACC I N ---".-.-..- S w E VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer FT: Water FT Storm Sewer FT. 'Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust HoorJ Vent Fan NO Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge' Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition Slate Surcharge Total Miscellaneous Permi ts (E) TOTAL AMOUNT DUE (excluding electrical) (A, S, C, D, and E Combined) FEE APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked'at any time upon violation of any provisions of said ordinances. Plan Check F~e; Dale Paid: Receipt Number: Received By: -------_.. ---._- Plans Reviewed By Date Systems .Development Charge is due on all undeveloped properties within tho City limits which are being improved. ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information hereon is true and correct, and I further certffy that any and all work performed shall be don.:; in accordance with the Ordinanctls of the City of Springfield, and the Laws of tile State of Oregon perlalnlng to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only ~ontractors and employees who are In compliance with ORS 701.055 will be used on this project. I further agree to ensure that al/ required Inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Signature Date VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY